Abstract
A girl 9 years and eight months old was seen first on March 3, 1994. She had complained of a left hip pain and had been limping for about 3 months. Roentogenograms showed that the lateral head-shaft angle of the hip was 17 degrees on the left and 8 degrees on the right, and she was diagnosed as a slipped capital femoral epiphysis. After 6 days, she tumbled and complained of a severe hip pain. The lateral head-shaft angle of the left hip increased to 28 degrees. She was admitted and treated by skin traction with internal rotation. On the third day of hospitalization, we gently manipulated her left hip under general anaethesia and fixed both hips by the method of multiple pinning with cannulated screws. The patient followed a good postoperative course at 6 months after the operation.
We suppose if an earlier manipulation is attempted in the acute slip, safer and gentler anatomical reduction of the hip can be achieved.
